Saint Stephen the Witness Registration
After completing registration, click the 'Save' button at the bottom of this form.
*
= Required field
Identification
First name:*:
Last name:*:
Birth date*:
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Religious denomination:*:
Local address
Street/Residence Hall and Room number*:
City*:
State*:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip*:
Parent/Guardian
Full name:
Street:
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
Phone numbers
Cell:
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)
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Work:
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)
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Home:
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)
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Preferred to use*:
Cell
Work
Home
Email address*:
Emergency contact name:
Phone for emergency contact:
(
)
-
If you are a student, your year in school:
High School student
Freshman
Sophomore
Junior
Senior
Graduate student
Please check all that apply*:
UNI Faculty/Staff
UNI Alumni
Retired
First Year at UNI
Transfer Student
Hawkeye Community College
Allen School of Nursing
International Student
Country:
Time and Talent: Worship
Worship ministry interests:
Greeter
Eucharistic Minister
Lector
Weekend Collection Counter
Chapel Sacristan
Organ/Piano
Cantor/Songleader
Choir
Liturgy Committee
Other Instrument
Instrument:
Sacristy Linens
Liturgical Environment
All Liturgical Ministers (greeters, lectors, etc.) MUST attend training to be included in the liturgical ministries schedule.
Time and Talent: Spiritual Growth and Education
Spiritual Growth and Education interests:
Bible Study
G.I.F.T. Group (Faith Sharing)
Individual Spiritual Direction
Antioch Retreat
Other Retreat Opportunities
Busy Person's Retreat
Men's Vocation Group
Women's Vocation Group
Pre-Marriage Retreat
Baptism Preparation Class
RCIA/Confirmation
Time and Talent: Outreach
Outreach interests:
Adopt-a-Grandparent
Catholic Worker Meals
Social Justice
Community Life (Student)
Community Life (Non-student)
Blood Drive
El Faro, Mexico Project
Time and Talent: Service
Service Interests:
Chalk Squad
Student Receptionist
Prayer Line
Web Page Updating
Service Trip
Witness Council
Student Ambassador
Librarian (Music or Books)
Volunteer: Building and Grounds
Volunteer: Socials/Baking/Dinners
Foreign Language
Language:
Center Environment (Plant Care)
Office Volunteer
In Kind Service/Donation
Click "Save" to submit: